Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Odyssey Family Practice

Organization Family Medicine Physician · NPI 1780142042

Odyssey Family Practice is a Family Medicine Physician in Kenai, Alaska. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3

Practice location Address checks out

11595 Kenai Spur Hwy
Kenai, AK 99611
Phone: (907) 313-4569
Fax: (907) 313-4939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Occupational Medicine Clinic/Center Taxonomy 261QX0100X
Clinical Medical Laboratory Taxonomy 291U00000X

Record details

NPI number1780142042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jared Wallace — Owner · (907) 313-4569
NPI enumeratedMarch 6, 2019
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025
Mailing addressPo Box 922, Kasilof, AK 99610-0922

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